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在婴儿中米卡芬净的安全性、有效性和暴露-反应:应用已建立的药代动力学模型到电子健康记录。

Safety, Effectiveness and Exposure-response of Micafungin in Infants: Application of an Established Pharmacokinetics Model to Electronic Health Records.

机构信息

From the Duke Clinical Research Institute.

Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina.

出版信息

Pediatr Infect Dis J. 2019 Feb;38(2):e26-e28. doi: 10.1097/INF.0000000000002045.

Abstract

Micafungin is used off-label in the United States to treat invasive candidiasis in neonates. We used an established pharmacokinetic model to determine micafungin exposures for 46 courses in 39 hospitalized infants. In this small cohort of infants, micafungin exposure was not associated with laboratory markers of liver toxicity, death or failure of microbiologic clearance.

摘要

米卡芬净在美国被超适应证用于治疗新生儿侵袭性念珠菌病。我们使用已建立的药代动力学模型来确定 39 名住院婴儿的 46 个疗程的米卡芬净暴露情况。在这个小婴儿队列中,米卡芬净的暴露与肝毒性、死亡或微生物清除失败的实验室标志物无关。

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Clinical Pharmacokinetics and Pharmacodynamics of Micafungin.米卡芬净的临床药代动力学和药效学。
Clin Pharmacokinet. 2018 Mar;57(3):267-286. doi: 10.1007/s40262-017-0578-5.

本文引用的文献

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Neonatal candidiasis: diagnosis, prevention, and treatment.新生儿念珠菌病:诊断、预防及治疗
J Infect. 2014 Nov;69 Suppl 1(0 1):S19-22. doi: 10.1016/j.jinf.2014.07.012. Epub 2014 Aug 13.
7
Population pharmacokinetics of micafungin in neonates and young infants.新生儿和婴儿中米卡芬净的群体药代动力学。
Antimicrob Agents Chemother. 2010 Jun;54(6):2633-7. doi: 10.1128/AAC.01679-09. Epub 2010 Mar 22.

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